Organization
SAFE KIDS
Active
Other names
Wentzville Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA W MARSH PH.D. (OWNER)
(636) 357-0136
Entity
Organization
Contact information
Practice address
219 CREEKSIDE OFFICE DR, WENTZVILLE, MO 63385-3290
(636) 357-0136
(866) 272-2483
Mailing address
7 COUNTRY ROAD, FORISTELL, MO 63348-0186
(636) 357-0136
(866) 272-2483
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
2007036957
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114164977
—
MO
Enumeration date
09/08/2009
Last updated
05/18/2015
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